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Prof. Diah Ayu Maharani, DDS, PhD
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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
Core Subject :
Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 270 Documents
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Health Services Students’ Knowledge of Sexually Transmitted Diseases Akbaba, Özge; Demirtürk Selçuk, Ezgi
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: The rising incidence of sexually transmitted diseases (STDs) among young people is a significant public health issue. This study aims to assess the level of knowledge of sexually transmitted diseases among students at a vocational health school. Methods: A descriptive study was conducted at a university in eastern Turkey from January to June 2024. The sample consisted of 621 students who agreed to participate. Data were collected from a sociodemographic form and the Sexually Transmitted Diseases Knowledge Questionnaire. Results: Knowledge was higher among males, second-year students, those in the emergency and disaster management program, those with previous education about STDs, and those familiar with prevention methods (p < 0.05). Human immunodeficiency virus/AIDS was the most commonly recognized disease (64.3%), and 61% of students reported having received information about sexually transmitted diseases at school. Conclusion: The mean total score of the students was 7.11 ± 5.94. The level of knowledge of sexually transmitted diseases is low. Effective educational interventions are essential for future healthcare providers to improve health education and implement preventive measures.
Unraveling the Multilevel Dynamics of Water, Sanitation, and Child Anthropometry in Indonesia Kirana, Rifa; Komarulzaman, Ahmad
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Anthropometrics, reflecting nutritional status, growth, and development, are crucial elements that can predict a person’s health and well-being. However, low anthropometric measures among children under 5 years remain a significant issue in Indonesia, often influenced by various factors at the household and community levels. Access to clean water and adequate sanitation has been identified as major determinants of these adverse health outcomes. This study analyzes the relationship between anthropometric measures and access to water and sanitation at household and community levels using a multilevel analysis approach. Methods: The study employs cross-sectional data from the Indonesian Family Life Survey (IFLS) waves 4 (2007) and 5 (2014), comprising a combined sample of 7,583 children. Furthermore, height-for-age z-scores (HAZ) and weight-for-height z-scores (WHZ) serve as the dependent variables, while improved water and sanitation access are the main independent variables. To account for the hierarchical nature of the data, a multilevel linear regression model is employed, clustering individuals, households, and communities at various levels. Results: The results indicate that improved sanitation at the household level and water coverage at the community level are significantly associated with higher HAZ, increasing the scores by 0.171 standard deviation (SD) (p < 0.01) and 0.004 SD (p < 0.1), respectively. However, the water and sanitation variables do not reveal a significant association with WHZ. Conclusions: The results of the study emphasize the importance of household-level sanitation and community-level water sources in influencing children’s health. Effective interventions must target improvements in water and sanitation facilities at household and community levels simultaneously to enhance children’s health and well-being. Recognizing and addressing the contextual factors at multiple levels is crucial for developing comprehensive health strategies.
Exploring Overactive Bladder Symptoms in Premenopausal and Postmenopausal Women: A Comparative Cross-Sectional Study Tural, Egemen; Ertürk Coşkun, Ayşe Deniz; Pınar, Gizem; Vural, Fisun
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Overactive bladder syndrome affects millions globally. It can intermittently cause urinary incontinence, which can significantly diminish the quality of life. This study investigated overactive bladder symptoms in premenopausal and postmenopausal individuals by analyzing the influence of demographic, gynecological, and obstetric factors. Methods: This single-center prospective cross-sectional study was conducted between September 1 and November 1, 2023, among premenopausal and postmenopausal women. In total, 244 patients meeting the inclusion criteria were selected using a simple random method. Participants were asked to complete an information collection form, and the Turkish version of the Overactive Bladder-V8 questionnaire was administered. A significance level of p < 0.05 was considered. Results: Individuals with an overactive bladder were older (mean age, 46.14 ± 14.56) and had a higher body mass index (mean, 28.47 ± 6.02) than healthy individuals (p = 0.013, p < 0.001, respectively). No significant difference in menopausal status was found (p = 0.091). Urinary incontinence was significantly higher in the overactive bladder group (63.6% vs. 17.4%, p < 0.001). The number of vaginal deliveries and prior gynecologic surgeries differed significantly between the groups (p = 0.030, p = 0.001, respectively). Conclusions: Age, higher body mass index, vaginal childbirth, and history of gynecological surgeries are associated with overactive bladder frequency, whereas menopausal status did not exert a significant effect.
Correlation Between Chemotherapy-Induced Nausea and Vomiting with Quality of Life in Patients with Ovarian Cancer at Dr. Cipto Mangunkusumo Hospital Madjid, Veinardi; Calvin, David; Purwoto, Gatot; Utami, Tofan Widya; Anggraeni, Tricia Dewi; Vidiawati, Dhanasari; Winarto, Hariyono
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction: Nausea and vomiting (NV) remain as side effects of chemotherapy, which has a detrimental effect on patients’ quality of life (QOL) and treatment adherence. This study aimed to determine the effect of chemotherapy-induced NV (CINV) on the QOL of patients with ovarian cancer treated with chemotherapy at Dr. Cipto Mangunkusumo Hospital (CMH). Methods: We conducted a cross-sectional study in patients with ovarian cancer receiving first-line chemotherapy regimens of carboplatin and paclitaxel. The European Organisation for Research and Treatment helped translate the Quality-of-Life Questionnaire-OV28 (QLQ-OV28) into Indonesian and tested it in a preliminary study. The approved Indonesian version of the QLQ-OV28, with the Quality-of-Life Questionnaire-C30 (QLQ-C30), was then used to evaluate QOL before and 1 week after chemotherapy. Results: Several symptom scales increased, whereas function scales decreased. Moreover, 72.5% had an increase in the NV symptom scale, whereas 67.5% had a decrease in patients’ scale after chemotherapy. CINV had a significant partial effect on reducing QOL (p = 0.047 and y = 12.208–0.432). Conclusions: CINV has a significant influence on lowering the QOL of patients with ovarian cancer undergoing first-line chemotherapy regimens with carboplatin and paclitaxel in CMH.
Analysis of Fluid Intake During Pregnancy Dilaver, Irem; Parlak Somuncu, Busra; Topbas, Murat; Sahin, Kubra; Ustundag, Medine Gozde; Agrali Gundogmus, Cansu; Can, Gamze; Beyhun, Nazim Ercument
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Background: Pregnancy is an important process that affects the body’s daily water requirements through various mechanisms. Adequate fluid intake also plays a critical role in pregnancy. This research aimed to determine levels of water/fluid intake and influencing factors among pregnant women presenting to a university hospital in Trabzon, Türkiye. Methods: A total of 1,082 pregnant women were included in this cross-sectional research. A questionnaire was used during the face-to-face interviews to collect data. SPSS version 23.0 software was employed during data analysis, and logistic regression was applied to identify factors that affect adequate daily fluid intake. Results: The pregnant women in this study consumed a daily mean amount of water amounting to 1.8 ± 0.9 liters and had a mean fluid intake of 2.3 ± 0.9 liters. Results showed that daily fluid intake was inadequate in 557 (51.5%) participants. At the same time, logistic regression analysis revealed higher rates of sufficient daily fluid intake among pregnant women who were informed about water intake by their physicians and women with higher total monthly household incomes. Conclusions: Fluid intake was lower than the recommended amount for pregnant women in approximately half of the study’s participants. High levels of education, household income, and information about water intake provided by a physician were identified as important factors related to adequate daily fluid intake.
The Challenges of Down Syndrome Screening in Primary Healthcare for Pregnant Women in Iran in 2018 Zeinaloo, Mona; Shariati, Mohammad; Younesian, Masoud; Kheiltash, Azita
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: This study aimed to evaluate the various aspects of the implementation phase, including an economic evaluation, of Iran’s Down syndrome (DS) screening program. Methods: Data were collected via phone interviews involving three random sample groups, with each group consisting of 1000 mothers who completed their pregnancies in 2018. To analyze the DS screening program from an economic aspect, we compared the costs related to the care of a DS individual in the country with that of finding and aborting a DS fetus based on the current screening program. In addition, to examine the financial expenses, we assessed the false positive rate (FPR) obtained from the tests and the status of pregnancy outcomes in terms of DS birth and the incidences of abortion complications in the interviewed samples. Results: A total of 94.5% of pregnant mothers participated in the DS screening program. The calculated FPRs in the screening tests were in the range of 15.3% (95% confidence interval (CI): 12.7%–18.1%) to 16.5% (95% CI: 13.7%–19.5%) for mothers registered in Iran’s Health Network and 12.5% (95% CI: 10.2%–15.2%) for all mothers. The results suggest the inefficiency of the current implementation of the DS screening program in Iran from an economic perspective and given the respective side effects, especially fetal loss. Conclusions: The DS screening program in Iran necessitates urgent review and modification.
Evaluation of the Relationship Between Self-Care and Treatment Compliance in Patients with Type 2 Diabetes: A Cross-Sectional Study from Northeast Türkiye Caner, Enver; Kavuran, Esin
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Background: The study aimed to investigate the connection between self-care behaviors and treatment adherence among individuals with type 2 diabetes. Methods: This cross-sectional correlational study was conducted between January and May 2022 in a public hospital involving 191 patients diagnosed with type 2 diabetes. Data were collected using the patient information form, the diabetes self-care scale, and the assessment scale for treatment compliance in type 2 diabetes. Results: The mean self-care score was 84.57 ± 14.46 years, and the mean treatment compliance score was 79.50 ± 11.13 years, with a significant negative correlation between them (r = −0.315, p < 0.001). Factors positively influencing self-care were being female (p < 0.05), unemployed (p < 0.05), farmer or civil servant (p < 0.05), hospitalized in the past year (p < 0.01), and exercising regularly or occasionally (p < 0.001). Treatment compliance was significantly higher in those who did not exercise (p < 0.01). A positive correlation was found between age and treatment compliance (r = 0.152, p < 0.05) but not with BMI or diagnosis duration. Conclusions: The study revealed that patients exhibited moderate levels of self-care and treatment compliance. Moreover, as self-care improved, treatment compliance tended to decrease.
Association of Self-Reported Disease Severity with Depression and Anxiety among COPD Patients Aldabayan, Yousef Saad; Alaban, Antonieto; Fabella, Eduardo; Abdelhameed, Amal Ismael
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Background: This study was conducted to estimate the proportion of patients who experience a high impact from chronic obstructive pulmonary disease (COPD) on their health status and those who also experience symptoms of depression and anxiety. It also sought to determine whether the health impact of the disease is associated with anxiety and depression. Methods: An analytical cross-sectional study was conducted among 177 randomly selected patients with COPD seeking treatment in various primary health centers in Al Ahsa, Saudi Arabia. The COPD Assessment Test (CAT) was used to determine the impact of COPD on health generally, and the Hospital Anxiety and Depression Scale was used to determine the presence of anxiety and depression symptoms. Multiple logistic regression was performed to determine the association between the health impact of COPD on the respondents and the presence of symptoms of anxiety and depression. Results: Patients who had a CAT Score of >21 were 17.37 times more likely to experience anxiety. Patients with COPD who had a CAT Score of >21 were 5.62 times more likely to experience depression. Conclusion: COPD had a severe impact on the health of nearly 30% of the patients affected. The high impact of COPD on health increases the likelihood of having anxiety and depression symptoms.
Nursing Students’ Epistemological Beliefs and Critical Thinking Skills Çobanoğlu, Asuman; Bilgiç, Şebnem
Makara Journal of Health Research Vol. 28, No. 2
Publisher : UI Scholars Hub

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Background: Epistemological beliefs and critical thinking affect the approach to knowledge and decision-making processes in nursing practice. These characteristics positively contribute to the personal development and quality of patient care of nurses. This study investigated the relationship between nursing students’ epistemological beliefs and critical thinking skills. Methods: This descriptive and correlational study included 752 students studying nursing. The study was conducted with students enrolled in nursing programs at two state universities located in the northeast and west of Turkey. Data were collected using a Student Information Form, the Epistemological Beliefs Questionnaire (EBQ), and the Critical Thinking Disposition Scale (CTDS). Results: The mean age of the students was 20.49 ± 1.73 years, and 78.2% were females. The students’ mean scores were 82.73 ± 12.05 on the total EBQ and 43.00 ± 5.35 on the CTDS. A negative and moderate (r = −0.315, p = 0.000) relationship was noted between the nursing students’ mean scores on the EBQ and CTDS. Conclusions: The study results indicate that the nursing students’ epistemological beliefs and critical thinking levels were above mean and that students with higher epistemological beliefs had higher critical thinking skills. According to these findings, utilizing instructional strategies incorporating practice and questioning in nursing education may enhance students’ epistemological beliefs and critical thinking abilities.
Nursing Students’ Attitudes to the Recording and Protection of Patients’ Health Data: A Cross-Sectional Study Yılmaz, Dilek; Uysal, Oktay
Makara Journal of Health Research Vol. 28, No. 2
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Background: Understanding nursing students’ attitudes toward patient data protection is crucial, as it can affect their future practice and adherence to legal and ethical standards. The primary aim of this study was to assess nursing students’ attitudes toward the recording and protection of patients’ health data. Methods: In this descriptive and cross-sectional study, 460 students were selected using the convenience sampling method. The intention was to contact the whole research population; however, data were collected from those who agreed to participate in the study and who completed the data collection form, which accounted for 70% of the population. For data collection, a five-question student description form and the personal health data recording and protection attitude form for nursing students, consisting of 31 questions checked for language validity, were used. The independent samples t-test and one-way variance analysis were used in independent groups. Results: The students’ mean score on the personal health data recording and protection attitude form for nursing students total was 3.96 ± 0.56. The attitudes to the recording and protection of patients’ health data of female students, in their second-year of study, who had knowledge concerning personal data and health data, who desired to work in fields of practice related to their studies, and whose levels of communication with patients in their fields of practice were significantly better than those of other students (p = 0.001, p = 0.001, p = 0.000, p = 0.000, p = 0.001, respectively). Conclusions: Nursing students demonstrated positive attitudes to the recording and protection of patients’ data, and certain independent variables affect this. The results of the study may provide nursing educators with an opportunity to carry out interventions relating to factors that affect the attitudes of nursing students to the recording and protection of patients’ health data. Qualitative and interventional studies on the research topic with larger samples are warranted.

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